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Follow-up and Mediation Outcomes of a Movement-Based Mental Health Promotion Intervention for Refugee Children in Uganda.

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Title: Follow-up and Mediation Outcomes of a Movement-Based Mental Health Promotion Intervention for Refugee Children in Uganda.
Authors: Jordans, Mark J. D. (AUTHOR), Koppenol-Gonzalez, Gabriela V. (AUTHOR), Bleile, Alexandra C. E. (AUTHOR), Orech, Bruce (AUTHOR), Brian, Areeba (AUTHOR), Verreault, Katia (AUTHOR)
Source: Journal of Clinical Child & Adolescent Psychology. Sep/Oct2025, Vol. 54 Issue 5, p608-619. 12p.
Subjects: Mental health, Psychological well-being, Physical activity, Mental health promotion, Social belonging, Refugee children
Geographic Terms: Uganda
Abstract: Objective: There is limited evidence for the effectiveness of mental health promotion interventions in low- and middle-income settings, especially for longer-term benefits. This study evaluates the 5-month follow-up outcomes of a movement-based mental health promotion intervention (TeamUp) for refugee children in Northern Uganda (West Nile) and further investigates what explains longer-term benefits. Methods: This quasi-experimental study was conducted in four primary schools, randomly allocated to an experimental or a control condition. Enrolled in the study were 549 children ages 10–15 years (n = 265 TeamUp;n = 284 control group). Primary outcomes were psychosocial well-being (Stirling Children's Wellbeing Scale), attitude toward school, and satisfaction with friendships (Multidimensional Students Life Satisfaction Scale [Friends and School subscales]). Mediators included social connectedness and sense of agency. Results: At 5 months postintervention, 467 (85.1%) children were retained. Intent-to-treat analyses demonstrated sustained benefits for TeamUp for well-being (estimated mean difference −1.88, 95% CI −3.14 to −0.66, p =.003, effect size Cohen's d = 0.25) and friendships (−1.52, 95% CI −2.55 to −0.48, p =.005, d = 0.25). There were no significant between-group differences for attitude toward school. Secondary benefits were shown for traumatic stress (2.18, 95% CI 0.45 to 3.91, p =.014, d = 0.21), quality of life (−1.29, 95% CI −2.31 to −0.30, p =.014, d = 0.21), bullying (0.53, 95% CI 0.08 to 0.97, p =.020, d = 0.20), and depression symptoms (1.31, 95% CI 0.09 to 2.52, p =.035, d = 0.18). Increased sense of connectedness mediates the effect of TeamUp on improving well-being (indirect effect = 0.30, SE = 0.13, p =.001), explaining 15% of variance. Conclusion: This study shows sustained benefits of a mental health promotion intervention 5 months postintervention. Prolonged benefits are explained by an increase in social connectedness. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Clinical Child & Adolescent Psychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Label: Title
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  Data: Follow-up and Mediation Outcomes of a Movement-Based Mental Health Promotion Intervention for Refugee Children in Uganda.
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  Data: <searchLink fieldCode="AR" term="%22Jordans%2C+Mark+J%2E+D%2E%22">Jordans, Mark J. D.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Koppenol-Gonzalez%2C+Gabriela+V%2E%22">Koppenol-Gonzalez, Gabriela V.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bleile%2C+Alexandra+C%2E+E%2E%22">Bleile, Alexandra C. E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Orech%2C+Bruce%22">Orech, Bruce</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Brian%2C+Areeba%22">Brian, Areeba</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Verreault%2C+Katia%22">Verreault, Katia</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Clinical+Child+%26+Adolescent+Psychology%22">Journal of Clinical Child & Adolescent Psychology</searchLink>. Sep/Oct2025, Vol. 54 Issue 5, p608-619. 12p.
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  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+well-being%22">Psychological well-being</searchLink><br /><searchLink fieldCode="DE" term="%22Physical+activity%22">Physical activity</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health+promotion%22">Mental health promotion</searchLink><br /><searchLink fieldCode="DE" term="%22Social+belonging%22">Social belonging</searchLink><br /><searchLink fieldCode="DE" term="%22Refugee+children%22">Refugee children</searchLink>
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  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Uganda%22">Uganda</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: There is limited evidence for the effectiveness of mental health promotion interventions in low- and middle-income settings, especially for longer-term benefits. This study evaluates the 5-month follow-up outcomes of a movement-based mental health promotion intervention (TeamUp) for refugee children in Northern Uganda (West Nile) and further investigates what explains longer-term benefits. Methods: This quasi-experimental study was conducted in four primary schools, randomly allocated to an experimental or a control condition. Enrolled in the study were 549 children ages 10–15 years (n = 265 TeamUp;n = 284 control group). Primary outcomes were psychosocial well-being (Stirling Children's Wellbeing Scale), attitude toward school, and satisfaction with friendships (Multidimensional Students Life Satisfaction Scale [Friends and School subscales]). Mediators included social connectedness and sense of agency. Results: At 5 months postintervention, 467 (85.1%) children were retained. Intent-to-treat analyses demonstrated sustained benefits for TeamUp for well-being (estimated mean difference −1.88, 95% CI −3.14 to −0.66, p =.003, effect size Cohen's d = 0.25) and friendships (−1.52, 95% CI −2.55 to −0.48, p =.005, d = 0.25). There were no significant between-group differences for attitude toward school. Secondary benefits were shown for traumatic stress (2.18, 95% CI 0.45 to 3.91, p =.014, d = 0.21), quality of life (−1.29, 95% CI −2.31 to −0.30, p =.014, d = 0.21), bullying (0.53, 95% CI 0.08 to 0.97, p =.020, d = 0.20), and depression symptoms (1.31, 95% CI 0.09 to 2.52, p =.035, d = 0.18). Increased sense of connectedness mediates the effect of TeamUp on improving well-being (indirect effect = 0.30, SE = 0.13, p =.001), explaining 15% of variance. Conclusion: This study shows sustained benefits of a mental health promotion intervention 5 months postintervention. Prolonged benefits are explained by an increase in social connectedness. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Clinical Child & Adolescent Psychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1080/15374416.2024.2344157
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 12
        StartPage: 608
    Subjects:
      – SubjectFull: Mental health
        Type: general
      – SubjectFull: Psychological well-being
        Type: general
      – SubjectFull: Physical activity
        Type: general
      – SubjectFull: Mental health promotion
        Type: general
      – SubjectFull: Social belonging
        Type: general
      – SubjectFull: Refugee children
        Type: general
      – SubjectFull: Uganda
        Type: general
    Titles:
      – TitleFull: Follow-up and Mediation Outcomes of a Movement-Based Mental Health Promotion Intervention for Refugee Children in Uganda.
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            NameFull: Koppenol-Gonzalez, Gabriela V.
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              M: 09
              Text: Sep/Oct2025
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              Y: 2025
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